Organization Active NPI

Hulsey Dental Corporation

  • Dentist
  • San Diego, CA
National Provider Identifier
1427183441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D18346 Issued in CA
Legal business name
HULSEY DENTAL CORPORATION
Practice address
245 25TH St
San Diego, CA 92102-3013
Phone
(619) 236-9831
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles Martin Hulsey III, D.D.S.,M.S.
Title
President
Phone
(619) 236-9831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D18346 CA Primary

Addresses

Primary practice location

245 25TH St
San Diego, CA 92102-3013

Mailing address

5087 McGill Way
San Diego, CA 92130-2711
Phone (858) 792-9604

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427183441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5087 MCGILL WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302711",
            "telephone_number": "858-792-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 25TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023013",
            "telephone_number": "619-236-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULSEY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULSEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-236-9831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D18346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.